ROBOT-ASSISTED AND LAPAROSCOPIC SURGERY IN PATIENTS WITH GIANT HIATAL HERNIAS
EAES Academy. Komarov R. 07/05/22; 363177; P222
Roman Komarov
Contributions
Contributions
Abstract
Aim. To compare the short-term outcomes of robot-assisted fundoplication (RAF) and laparoscopic fundoplication (LF) in patients with giant (type III) hiatal hernias (HH).
Methods. Data for 64 patients who underwent robot-assisted or laparoscopic fundoplication for type III of HH at our hospital between January 2015 and February 2021 were retrospectively analyzed. The selection included 32 patients who underwent RAF and 32 patients - treated laparoscopically. There were no significant differences between the laparoscopic and the robotic groups in terms of age, sex, BMI, comorbidities. Short-term outcome measures such as mean operation time, blood loss, duration of hospital stay, and postoperative complications were analyzed.
Results:
Operation time was shorter in the RAF group (125 ± 6,6 min versus 153,2 ± 8 min; p = 0,009). Mean blood loss was similar in the two groups (RAF - 19 ± 2 ml; LF - 23 ± 3,2 ml; p=0,264). The rate of postoperative complications in the RAF group and LF group were 9% (Clavien—Dindo I-IIIa) and 15% (Clavien—Dindo I-IIIb) respectively (p=0,450). Our results showed that the robot-assisted fundoplication was associated with a shorter hospital stay (7,8 ± 0,38 days versus 9,7 ± 0,49 days; p=0,003). There were no conversions in the two groups.
Conclusion:
Safety and short-term efficacy seem comparable between RAF and LF in patients with giant (type III) of hiatal hernias. The robot-assisted fundoplication was associated with a shorter operation time and hospital stay.
Methods. Data for 64 patients who underwent robot-assisted or laparoscopic fundoplication for type III of HH at our hospital between January 2015 and February 2021 were retrospectively analyzed. The selection included 32 patients who underwent RAF and 32 patients - treated laparoscopically. There were no significant differences between the laparoscopic and the robotic groups in terms of age, sex, BMI, comorbidities. Short-term outcome measures such as mean operation time, blood loss, duration of hospital stay, and postoperative complications were analyzed.
Results:
Operation time was shorter in the RAF group (125 ± 6,6 min versus 153,2 ± 8 min; p = 0,009). Mean blood loss was similar in the two groups (RAF - 19 ± 2 ml; LF - 23 ± 3,2 ml; p=0,264). The rate of postoperative complications in the RAF group and LF group were 9% (Clavien—Dindo I-IIIa) and 15% (Clavien—Dindo I-IIIb) respectively (p=0,450). Our results showed that the robot-assisted fundoplication was associated with a shorter hospital stay (7,8 ± 0,38 days versus 9,7 ± 0,49 days; p=0,003). There were no conversions in the two groups.
Conclusion:
Safety and short-term efficacy seem comparable between RAF and LF in patients with giant (type III) of hiatal hernias. The robot-assisted fundoplication was associated with a shorter operation time and hospital stay.
Aim. To compare the short-term outcomes of robot-assisted fundoplication (RAF) and laparoscopic fundoplication (LF) in patients with giant (type III) hiatal hernias (HH).
Methods. Data for 64 patients who underwent robot-assisted or laparoscopic fundoplication for type III of HH at our hospital between January 2015 and February 2021 were retrospectively analyzed. The selection included 32 patients who underwent RAF and 32 patients - treated laparoscopically. There were no significant differences between the laparoscopic and the robotic groups in terms of age, sex, BMI, comorbidities. Short-term outcome measures such as mean operation time, blood loss, duration of hospital stay, and postoperative complications were analyzed.
Results:
Operation time was shorter in the RAF group (125 ± 6,6 min versus 153,2 ± 8 min; p = 0,009). Mean blood loss was similar in the two groups (RAF - 19 ± 2 ml; LF - 23 ± 3,2 ml; p=0,264). The rate of postoperative complications in the RAF group and LF group were 9% (Clavien—Dindo I-IIIa) and 15% (Clavien—Dindo I-IIIb) respectively (p=0,450). Our results showed that the robot-assisted fundoplication was associated with a shorter hospital stay (7,8 ± 0,38 days versus 9,7 ± 0,49 days; p=0,003). There were no conversions in the two groups.
Conclusion:
Safety and short-term efficacy seem comparable between RAF and LF in patients with giant (type III) of hiatal hernias. The robot-assisted fundoplication was associated with a shorter operation time and hospital stay.
Methods. Data for 64 patients who underwent robot-assisted or laparoscopic fundoplication for type III of HH at our hospital between January 2015 and February 2021 were retrospectively analyzed. The selection included 32 patients who underwent RAF and 32 patients - treated laparoscopically. There were no significant differences between the laparoscopic and the robotic groups in terms of age, sex, BMI, comorbidities. Short-term outcome measures such as mean operation time, blood loss, duration of hospital stay, and postoperative complications were analyzed.
Results:
Operation time was shorter in the RAF group (125 ± 6,6 min versus 153,2 ± 8 min; p = 0,009). Mean blood loss was similar in the two groups (RAF - 19 ± 2 ml; LF - 23 ± 3,2 ml; p=0,264). The rate of postoperative complications in the RAF group and LF group were 9% (Clavien—Dindo I-IIIa) and 15% (Clavien—Dindo I-IIIb) respectively (p=0,450). Our results showed that the robot-assisted fundoplication was associated with a shorter hospital stay (7,8 ± 0,38 days versus 9,7 ± 0,49 days; p=0,003). There were no conversions in the two groups.
Conclusion:
Safety and short-term efficacy seem comparable between RAF and LF in patients with giant (type III) of hiatal hernias. The robot-assisted fundoplication was associated with a shorter operation time and hospital stay.
{{ help_message }}
{{filter}}